# Morning Sickness in the second trimester

Source: https://www.pregnancypowerhour.com/trimester-conditions/morning-sickness-in-second-trimester
Last updated: 2026-07-15

> While morning sickness often fades by the second trimester, some people experience lingering nausea and food aversions, which can feel surprising and frustrating.

It can be quite disheartening when the morning sickness you expected to fade by the second trimester decides to linger. Many people anticipate a "honeymoon phase" in weeks 14-27, so persistent nausea can feel confusing and frustrating. While often less intense than the early weeks, this lingering queasiness is still very real, and understanding its nuances can bring a sense of clarity.

## Why it shows up this trimester

For most, the surge of hCG hormones that often drives first-trimester nausea begins to subside around week 12-14. However, other factors can keep nausea present. Elevated levels of progesterone and estrogen continue throughout pregnancy, which can slow down digestion, contributing to feelings of fullness, bloating, and sometimes reflux – all of which can mimic or worsen nausea. Dehydration, dietary triggers, or even stress can also play a significant role in this window. It's less common for nausea to be severe in the second trimester, but it’s certainly not unheard of.

## What it tends to feel like now

Second-trimester nausea often presents differently than the intense, all-day sickness of the first trimester. You might experience more persistent, low-grade queasiness rather than frequent vomiting. Food aversions can still be strong, and certain smells might trigger discomfort. It might also feel more sporadic, popping up unexpectedly. This can lead to a sense of disappointment, especially if you were looking forward to feeling more energetic and comfortable. Acknowledging these feelings is a valid part of navigating this experience.

## What helps in this window

Even if you've tried strategies before, it's worth revisiting what might offer some ease now. Focusing on consistent hydration with water, electrolyte-rich drinks, or ginger tea can be helpful. Eating small, frequent meals composed of bland, easy-to-digest foods can help keep your blood sugar stable and prevent an empty stomach from triggering nausea. Many find relief with ginger candies, peppermint tea, or acupressure wristbands. Gentle movement, like a short walk, can also aid digestion. Remember, listening to your body's cues is key here.

## Working with your care team

It's always a good idea to mention any persistent or worsening nausea to your obstetrician or midwife. They can help rule out other potential causes, such as reflux, or assess if your symptoms warrant further investigation. They are your best resource for discussing safe and effective options, including certain medications like vitamin B6 or doxylamine (Unisom), if your nausea is significantly impacting your quality of life. Collaborating with your care team ensures you receive personalized guidance and support for your specific situation.